Individual provider Active NPI

Andrea Stoddard Ramos, DMD

  • General Practice Dentistry
  • San Juan, PR
National Provider Identifier
1346600608
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3247 Issued in PR
Practice address
Urb Altamesa
1324 Ave San Alfonso
San Juan, PR 00921
Phone
(787) 767-7148
NPI assigned
Feb 29, 2016
Last updated
Mar 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3247 PR Primary

Addresses

Primary practice location

Urb Altamesa
1324 Ave San Alfonso
San Juan, PR 00921

Mailing address

Urb. Los Jardines
#129 Flor de Luz
Garrochales, PR 00652

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230928003665 PR Practitioner - Dentist 2466710645 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3247PRMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Morovis Community Health Center, Inc. Current Accepting new patients
Morovis Community Health Center, Inc. CurrentSince Sep 1, 2023 Accepting new patients
Orahealth LLC PastSince Feb 9, 2025 Accepting new patients

Locations

2 Calle Patron
Morovis, PR 00687
Phone (787) 862-3667

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1346600608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. LOS JARDINES",
            "address_2": "#129 FLOR DE LUZ",
            "city": "GARROCHALES",
            "state": "PR",
            "postal_code": "00652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB ALTAMESA",
            "address_2": "1324 AVE SAN ALFONSO",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-767-7148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STODDARD RAMOS",
        "first_name": "ANDREA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-29",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "3247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.